Form W-3 - Withholding Tax Reconciliation - The Village Of Evendale
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1WITHHOLDING TAX RECONCILIATION - THE VILLAGE OF EVENDALE
Form W-3
10500 READING ROAD EVENDALE, OHIO 45241-2574 PHONE (513) 563-2671 FAX (513) 563-4636
Total Evendale Income Tax Withheld for Tax Year ________
1. Total number of employees
First quarter ending March 31
$
2. Total payroll for the year
$
Second quarter ending June 30
$
3. Less payroll not subject to tax
$
(Attach explanation)
Third quarter ending September 30
$
4. Payroll subject to tax
$
Fourth quarter ending December 31
$
5. Withholding tax liability at .9% of line 4
$
6. Total remitted for the year
$
EMPLOYER’S NAME, ADDRESS, AND ACCOUNT NUMBER
7.* Overpayment $
or additional tax due $
*Refunds are not automatically issued. If refund of overpayment is requested,
please attach explanation. If additional tax is due, enclose payment with return.
I HEREBY CERTIFY THAT THE INFORMATION AND STATEMENTS CONTAINED
HEREIN ARE TRUE AND CORRECT.
SIGNATURE
TITLE
DATE
INSTRUCTIONS
- Copies of W-2’s of taxable employees must accompany the filing of this Form W-3. Include an adding machine tape showing how you obtained the actual tax withheld.
- If nonemployee compensation was paid in excess of $600.00 per individual, copies of 1099’s must also accompany this return.
- Mail Original To: The Village of Evendale Tax Office, 10500 Reading Road, Evendale, Ohio 45241-2574 on or before January 31st.
ORIGINAL
WITHHOLDING TAX RECONCILIATION - THE VILLAGE OF EVENDALE
Form W-3
10500 READING ROAD EVENDALE, OHIO 45241-2574 PHONE (513) 563-2671 FAX (513) 563-4636
Total Evendale Income Tax Withheld for Tax Year _______
1. Total number of employees
First quarter ending March 31
$
2. Total payroll for the year
$
Second quarter ending June 30
$
3. Less payroll not subject to tax
$
(Attach explanation)
Third quarter ending September 30
$
4. Payroll subject to tax
$
Fourth quarter ending December 31
$
5. Withholding tax liability at .9% of line 4
$
6. Total remitted for the year
$
EMPLOYER’S NAME, ADDRESS, AND ACCOUNT NUMBER
7.* Overpayment $
or additional tax due $
*Refunds are not automatically issued. If refund of overpayment is requested,
please attach explanation. If additional tax is due, enclose payment with return.
I HEREBY CERTIFY THAT THE INFORMATION AND STATEMENTS CONTAINED
HEREIN ARE TRUE AND CORRECT.
SIGNATURE
TITLE
DATE
INSTRUCTIONS
- Copies of W-2’s of taxable employees must accompany the filing of this Form W-3. Include an adding machine tape showing how you obtained the actual tax withheld.
- If nonemployee compensation was paid in excess of $600.00 per individual, copies of 1099’s must also accompany this return.
- Mail Original To: The Village of Evendale Tax Office, 10500 Reading Road, Evendale, Ohio 45241-2574 on or before January 31st.
TAXPAYER’S COPY
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